CERTIFICATE OF LIABILITY INSURANCE (5)
STAHL & ASSOCIATES
INSURANCE INC.
8200 SEMINOLE BLVD
SEMINOLE
~i~~:~I~I~~1~~~II~,~~I~:~I~i~~ii~~~P~~i~~I~II;:::::::;;::...:: DA~(MM~~Y)
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
.....................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . .
:"':, ACORD",
PRODUCER
FL 33772
COMPANY
A
NATIONAL INSURANCE CO
INSURED
CRABBY BILL'S
C/O OFFICE OF
1901 ULMERTON
CLEARWATER
CLEARWATER BCH
LISA SMITHSON
ROAD STE 750
FL 33762
COMPANY
B
BURLINGTON INSURANCE CO
COMPANY
C
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DA~ (MMIDDIYY) DA~ (MMIDDIYY)
L1Mml
GENERAL LIABILITY CLPO 1 0 0 998
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [K] OCCUR
OWNER'S & CONTRACTOR'S PROT
7/20/03
7/20/04 GENERAL AGGREGATE $2,000,000
PRODUCTS. COMP/OP AGG $1, 0 0 0 , 0 0 0
PERSONAL & ADV INJURY $1, 000, 000
EACH OCCURRENCE $1, 000, 000
FIRE DAMAGE (Anyone fire) $ 1 0 0 , 0 0 0
MED EXP (Anyone person) $ 5 , 0 0 0
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON,OWNED AUTOS
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY. EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
358B000096
EL EACH ACCIDENT $
EL DISEASE.POLlCY LIMIT $
EL DISEASE.EA EMPLOYEE $
07/20/03 07/20/04 1,000,000/2,000,000
THE PROPRIETOR!
PARTNERs/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
LIQUOR LIABILITY
DESCRIPTION OF OPERATlONSILOCATlONSNEHICLESISPECIAL ITEMS
CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED LANDLORD
COVERED PREMISES: 37 CAUSEWAY BLVD, CLEARWATER FL 33767
FAX ATTN CATHERINE @ 462-6957
CITY OF CLEARWATER
MARINE DEPARTMENT
25 CAUSEWAY BLVD
CLEARWATER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
FL 33767
.......,..."..",.."". I.,....""......,.,................
ACQAlt?~~8$:n@.~[n/)'
Ke
KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
P ESE~
",:' ,", :"~~l~;~Q~1IQN A$$~
OF ANY
AUTH
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